| Sparkle Speech And Language Therapy Llc | |
|
28000 Prairie Springs Drive, Davenport, WA 99122 | |
| (509) 818-0208 | |
| (509) 381-2532 |
| Full Name | Sparkle Speech And Language Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 28000 Prairie Springs Drive, Davenport, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790346294 | NPI | - | NPPES |
| 2135668 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkle Speech And Language Therapy Llc Po Box 13, Davenport, WA 99122-0013 Ph: (509) 818-0208 | Sparkle Speech And Language Therapy Llc 28000 Prairie Springs Drive, Davenport, WA 99122 Ph: (509) 818-0208 |
Alyssa Fleming, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28000 Prairie Springs Drive, Davenport, WA 99122 Phone: 509-818-0208 Fax: 509-351-3532 | |
Krysta Llewellyn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 Washington St, Davenport, WA 99122 Phone: 509-725-1261 Fax: 509-725-2780 |